How much rates vary
Facilitymedian $2,291 · 10th to 90th $417 to $6,607Professionalmedian $407 · 10th to 90th $309 to $2,570
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,380.38 Median $5,370.32 Typical High $15,848.93 | Facility | None | $1,380.38 | $5,370.32 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $1,584.89 | Professional | None | $354.81 | $380.19 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $5,128.61 Typical High $10,471.29 | Facility | None | $2,137.96 | $5,128.61 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $1,445.44 | Professional | None | $371.54 | $407.38 | $1,445.44 |
Blue Shield Setting Facility Modifier None Typical Low $100.00 Median $1,905.46 Typical High $5,248.07 | Facility | None | $100.00 | $1,905.46 | $5,248.07 |
Blue Shield Setting Professional Modifier None Typical Low $275.42 Median $398.11 Typical High $954.99 | Professional | None | $275.42 | $398.11 | $954.99 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $199.53 Median $316.23 Typical High $380.19 | Professional | None | $199.53 | $316.23 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $2,344.23 Typical High $4,265.80 | Facility | None | $426.58 | $2,344.23 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $977.24 | Professional | None | $338.84 | $398.11 | $977.24 |
Contra Costa Health Setting Professional Modifier None Typical Low $158.49 Median $346.74 Typical High $416.87 | Professional | None | $158.49 | $346.74 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $812.83 | Professional | None | $309.03 | $389.05 | $812.83 |
Lucent Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,691.53 | Professional | None | $2,570.40 | $2,570.40 | $2,691.53 |
Molina Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Providence Setting Facility Modifier None Typical Low $398.11 Median $2,290.87 Typical High $4,466.84 | Facility | None | $398.11 | $2,290.87 | $4,466.84 |
Providence Setting Professional Modifier None Typical Low $338.84 Median $380.19 Typical High $977.24 | Professional | None | $338.84 | $380.19 | $977.24 |
Sutter Health Plus Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,230.27 Typical High $4,897.79 | Facility | None | $398.11 | $1,230.27 | $4,897.79 |
United Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $1,047.13 | Professional | None | $281.84 | $398.11 | $1,047.13 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $190.55 Typical High $199.53 | Professional | 52 · Reduced service | $177.83 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $77.62 Typical High $79.43 | Professional | 53 · Discontinued | $70.79 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $269.15 Median $288.40 Typical High $302.00 | Professional | 54 · Surgery only | $269.15 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $57.54 Typical High $60.26 | Professional | 55 · Aftercare only | $53.70 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $38.02 Typical High $39.81 | Professional | 56 · Pre-op care only | $35.48 | $38.02 | $39.81 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $436.52 Median $549.54 Typical High $1,230.27 | Professional | 50 · Both sides | $436.52 | $549.54 | $1,230.27 |
Where California sits
The same service costs 3.9 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 24th of 51
$537
AK $1,413NY $363
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.